| Prime Smile Dental Pc | |
|
35-35 149th Street Suite 203 Flushing NY 11354 | |
| (718) 460-9440 | |
| Not Available |
| Full Name | Prime Smile Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 35-35 149th Street, Flushing, New York |
| Authorized Official Name and Position | Dongkyun Kim (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2013132277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Smile Dental Pc 35-35 149th Street Suite 203 Flushing NY 11354 Ph: (718) 460-9440 | Prime Smile Dental Pc 35-35 149th Street Suite 203 Flushing NY 11354 Ph: (718) 460-9440 |
| NPI Number | 1831591049 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831591049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8607157 (New York) | Primary |
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